PMID- 16606766 OWN - NLM STAT- MEDLINE DCOM- 20060522 LR - 20071115 IS - 0003-9942 (Print) IS - 0003-9942 (Linking) VI - 63 IP - 4 DP - 2006 Apr TI - Intrathecal chemokine synthesis in mild cognitive impairment and Alzheimer disease. PG - 538-43 AB - BACKGROUND: Immunoreactivity for several chemokines and for their related receptors has been demonstrated in resident cells of the central nervous system, and the up-regulation of some of them is associated with pathological changes found in Alzheimer disease (AD). OBJECTIVE: To determine interferon-gamma-inducible protein 10 (IP-10), monocyte chemotactic protein 1 (MCP-1), and interleukin 8 (IL-8) levels in cerebrospinal fluid (CSF) from subjects with amnestic mild cognitive impairment (MCI) and patients with AD as compared with age-matched controls. PATIENTS: Thirty-eight subjects with amnestic MCI, 36 patients with AD, and 41 age-matched subjects with noninflammatory affections of the nervous system. DESIGN: Evaluation of CSF chemokine production at time of diagnosis of MCI and AD; correlation with clinical and personal data. Longitudinal evaluation of subjects with MCI until conversion to AD. RESULTS: Cerebrospinal fluid IP-10 concentration was significantly increased in patients with MCI and mild AD but not in patients with severe AD (Mini-Mental State Examination score <15), whereas MCP-1 and IL-8 levels were increased in patients with MCI and all patients with AD. A significant positive correlation between Mini-Mental State Examination score and CSF IP-10 or MCP-1 concentration was observed in patients with AD. No correlation between IP-10 levels and age was found, whereas MCP-1 and IL-8 levels correlated positively with age. Out of 38 subjects with MCI, 19 developed AD within a 1- to 3-year follow-up. CONCLUSIONS: The presence of inflammatory molecules is likely to be a very early event in AD pathogenesis, even preceding the clinical onset of the disease, as demonstrated by subjects with MCI who developed AD over time. Interferon-gamma-inducible protein 10 is specifically increased in MCI and seems to decrease with the progression of AD, whereas MCP-1 and IL-8 are up-regulated also in late stages of the disease, suggesting a role in phases in which neurodegeneration is prevalent. FAU - Galimberti, Daniela AU - Galimberti D AD - Department of Neurological Sciences, Dino Ferrari Center, University of Milan, IRCCS Ospedale Maggiore Policlinico, Via F. Sforza 35, 20122 Milan, Italy. daniela.galimberti@unimi.it FAU - Schoonenboom, Niki AU - Schoonenboom N FAU - Scheltens, Philip AU - Scheltens P FAU - Fenoglio, Chiara AU - Fenoglio C FAU - Bouwman, Femke AU - Bouwman F FAU - Venturelli, Eliana AU - Venturelli E FAU - Guidi, Ilaria AU - Guidi I FAU - Blankenstein, Marinus A AU - Blankenstein MA FAU - Bresolin, Nereo AU - Bresolin N FAU - Scarpini, Elio AU - Scarpini E LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Arch Neurol JT - Archives of neurology JID - 0372436 RN - 0 (CCL2 protein, human) RN - 0 (CXCL10 protein, human) RN - 0 (Cerebrospinal Fluid Proteins) RN - 0 (Chemokine CCL2) RN - 0 (Chemokine CXCL10) RN - 0 (Chemokines) RN - 0 (Chemokines, CXC) RN - 0 (Interleukin-8) SB - IM MH - Aged MH - Alzheimer Disease/*cerebrospinal fluid/diagnosis/*immunology MH - Brain/immunology/metabolism/physiopathology MH - Cerebrospinal Fluid Proteins/analysis/immunology/metabolism MH - Chemokine CCL2/analysis/immunology/metabolism MH - Chemokine CXCL10 MH - Chemokines/*cerebrospinal fluid/*immunology MH - Chemokines, CXC/analysis/immunology/metabolism MH - Cognition Disorders/*cerebrospinal fluid/diagnosis/*immunology MH - Encephalitis/cerebrospinal fluid/diagnosis/immunology MH - Female MH - Humans MH - Interleukin-8/analysis/immunology/metabolism MH - Male MH - Middle Aged MH - Neuropsychological Tests MH - Predictive Value of Tests MH - Statistics as Topic MH - Up-Regulation/immunology EDAT- 2006/04/12 09:00 MHDA- 2006/05/23 09:00 CRDT- 2006/04/12 09:00 PHST- 2006/04/12 09:00 [pubmed] PHST- 2006/05/23 09:00 [medline] PHST- 2006/04/12 09:00 [entrez] AID - 63/4/538 [pii] AID - 10.1001/archneur.63.4.538 [doi] PST - ppublish SO - Arch Neurol. 2006 Apr;63(4):538-43. doi: 10.1001/archneur.63.4.538.